The need for surgery for cerebral thrombosis does not depend on the size of the thrombus, but rather on its indications for surgery.
Commonly used clinical thrombus surgery includes arterial thrombectomy and debulking decompression. Whether surgery can be practiced is not entirely determined by the size of the thrombus.
Arterial thrombectomy is most often indicated after intravenous thrombolysis has failed. The failure of venous thrombolysis and the inability to recanalize the blood vessels in time will affect the life safety and prognosis of the patients. At this time, it is possible to urgently bridge the arteries to remove the thrombus and restore the perfusion of cerebral blood flow, so as to preserve the brain function of the patients and to reduce the sequelae brought by the brain damage.
In addition, if the intracranial pressure continues to rise after patients with massive cerebral infarction have been ineffective in lowering cranial pressure by dehydration, in order to avoid the formation of cerebral hernia, it is necessary to perform decompression of cranial flap in a timely manner to release intracerebral pressure, so as to achieve the purpose of saving the patient’s life.
Whether cerebral infarction requires surgery is not determined by the size of the thrombus, but depends on whether there is an indication for surgery, patients suffering from cerebral infarction need to consult a doctor in a timely manner to avoid delaying the condition.